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AV Comments on the Proposed Rule for the CY2026 Medicare Physician Fee Schedule

In a comment letter to the Centers for Medicare & Medicaid Services (CMS), Arnold Ventures supports recent efforts to improve payment accuracy in the Medicare Physician Fee Schedule (MPFS) and reduce potentially wasteful spending. The MPFS determines how clinicians are paid for services provided to the 33 million Americans with traditional Medicare and influences how private insurers pay clinicians. The comments call on CMS to develop a long-term strategy to overhaul the current valuation process and move toward a process based on objective and empirical data. The comments also encourage CMS to focus on transformative changes for primary care payment that go beyond adding or amending fee schedule codes, such as advancing hybrid capitated payments for primary care. Read the full letter below.